K. Srinath Reddy, P.P. Mohanan, Rajeev Gupta, Prakash Chand Negi, Puri Vk, Panniyammakal Jeemon, Neha J. Pagidipati, Jacob Jose, Satyavan Sharma, B. G. Muralidhara, Thannikot M. Jaison, Dorairaj Prabhakaran, Sivasubramonian Sivasankaran, Nakul Sinha, Sasidharan Bijulal, and Mark D. Huffman
Background Studies from high-income countries have shown that women receive less aggressive diagnostics and treatment than men in acute coronary syndromes (ACS), though their short-term mortality does not appear to differ from men. Data on gender differences in ACS presentation, management, and outcomes are sparse in India. Methods and Results The Detection and Management of Coronary Heart Disease (DEMAT) Registry collected data from 1,565 suspected ACS patients (334 women; 1,231 men) from ten tertiary care centers throughout India between 2007–2008. We evaluated gender differences in presentation, in-hospital and discharge management, and 30-day death and major adverse cardiovascular event (MACE; death, re-hospitalization, and cardiac arrest) rates. Women were less likely to present with STEMI than men (38% vs. 55%, p